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2019 Quest For Gold Athlete Assistance Program
Athlete's Family Name
Athlete's First Name
Are you member of the OTTA
Your OTTA number
Addressathlete's address
City
Postal Code
Have you received Canada card in 2018pick one!
If you have received Canada Card in 2018 please, write the reasons you are applying for Ontario Card in 2019more details
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Name of guardianif athlete younger than 18
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